In-Home Dementia and Alzheimer's Care in Sierra Madre, CA
Help at home for someone living with Alzheimer’s or another dementia: steady routines, safety and patience with changes in memory and mood. Post what you need in Sierra Madre for free and hire a caregiver directly, with no agency mark-up.
Dementia Care in Sierra Madre, CA: the local picture
Sierra Madre has about 291 residents aged 85 or older among 2,281 aged 65 or older. The risk of Alzheimer’s rises steeply with age, and the Alzheimer’s Association estimates that about a third of people 85 and older have Alzheimer’s dementia.
24% of residents 65 and older report a disability (34% in Los Angeles County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
26% of older Sierra Madre residents in households live alone. For someone with memory loss who lives alone, a few hours of daily check-ins are often the first step.
Sierra Madre compared with Los Angeles County and California
| Census figure | Sierra Madre | Los Angeles County | California |
|---|---|---|---|
| Residents 85 or older | 2.7% | 1.9% | 1.9% |
| Residents 65 or older | 21% | 15% | 16% |
| Residents 65+ with a disability | 24% | 34% | 33% |
| Residents 65+ in households who live alone | 26% | 22% | 23% |
| Residents 65+ below the poverty line (approx.) | 9.7% | 15% | 12% |
| Residents 5+ who speak a language other than English at home | 22% | 55% | 44% |
| Median income, households headed by someone 65+ | $78,036 | $64,269 | — |
Older residents in towns around Sierra Madre
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Arcadia, CA | 2.6 mi | 11,341 | 2,117 |
| East Pasadena, CA | 2.7 mi | 1,257 | 47 |
| Monrovia, CA | 3.8 mi | 5,518 | 630 |
| East San Gabriel, CA | 4.0 mi | 4,317 | 580 |
| Mayflower Village, CA | 4.3 mi | 1,350 | 187 |
| South Monrovia Island, CA | 4.4 mi | 751 | 74 |
Nursing homes near Sierra Madre
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Huntington Drive Health And Rehabilitation Center | Arcadia, CA | 2.7 mi | 1 of 5 | 99 | (626) 445-2421 |
| Pasadena Park Healthcare And Wellness Center | Pasadena, CA | 2.8 mi | 2 of 5 | 99 | (626) 463-4105 |
| Arcadia Care Center | Arcadia, CA | 3.3 mi | 2 of 5 | 164 | (626) 445-2170 |
| Monrovia Gardens Healthcare Center | Monrovia, CA | 3.4 mi | 1 of 5 | 96 | (626) 358-4547 |
| San Marino Healthcare Center | San Gabriel, CA | 3.4 mi | 3 of 5 | 59 | (626) 446-5263 |
| Monte Vista Healthcare Center | Duarte, CA | 4.4 mi | 2 of 5 | 69 | (626) 359-8141 |
Hospices serving Sierra Madre
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Mission Hospice | Pasadena, CA | 2.5 mi | (626) 799-2727 |
| St Vincent Hospice Services, Inc | Pasadena, CA | 2.5 mi | (626) 796-1922 |
| Roze Room Hospice Of San Gabriel Valley | Pasadena, CA | 2.5 mi | (626) 446-7673 |
| Hospice Of Grace And Palliative Care Inc | Arcadia, CA | 2.9 mi | (818) 553-6646 |
Straight-line miles from the center of Sierra Madre. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a dementia caregiver can help with
- Keeping a predictable daily routine
- Gentle help with bathing, dressing and toileting
- Meals, hydration and medication reminders
- Calming approaches for sundowning, agitation and repeated questions
What dementia care costs in Sierra Madre
At the California minimum wage of $16.90 an hour (the May 2025 median aide wage, $16.50, is now below it), 20 hours of help a week comes to about $1,465 a month in wages, which is 23% of the $6,503 monthly median income of Sierra Madre households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. California's minimum wage is $16.90 an hour (U.S. Department of Labor table, updated July 1, 2026).
Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see How to get paid to care for a family member in California: IHSS, VA, Paid Family Leave.
What to know before hiring a dementia caregiver
An estimated 7.2 million Americans aged 65 and older are living with Alzheimer’s dementia, according to the Alzheimer’s Association 2025 Facts and Figures. Most live at home, cared for by family. The Association’s 24/7 Helpline (1-800-272-3900) is free.
Questions worth asking: Tell me about someone with dementia you cared for. What worked? What do you do when a client becomes agitated in the late afternoon? How do you keep someone safe who tries to leave the house? More in our dementia care guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Dementia Care in Sierra Madre: common questions
What nursing homes are near Sierra Madre?
The closest Medicare-certified nursing homes are Huntington Drive Health And Rehabilitation Center in Arcadia (2.7 mi, 1 of 5 overall); Pasadena Park Healthcare And Wellness Center in Pasadena (2.8 mi, 2 of 5 overall); Arcadia Care Center in Arcadia (3.3 mi, 2 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Sierra Madre?
At the California minimum wage of $16.90 an hour (the May 2025 median aide wage, $16.50, is now below it), 20 hours of help a week comes to about $1,465 a month in wages, which is 23% of the $6,503 monthly median income of Sierra Madre households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. California's minimum wage is $16.90 an hour (U.S. Department of Labor table, updated July 1, 2026).
When does someone with dementia need care at home?
Common signs are missed meals or medication, getting lost in familiar places, unsafe cooking or driving, and a family caregiver who is exhausted. Many families start with a few hours a day and add hours, nights or live-in help as the disease progresses.
More senior care near Sierra Madre
Dementia Care in nearby cities
- Dementia Care in Arcadia, CA
- Dementia Care in East Pasadena, CA
- Dementia Care in Monrovia, CA
- Dementia Care in East San Gabriel, CA
- Dementia Care in Mayflower Village, CA
- Dementia Care in South Monrovia Island, CA
- Dementia Care in Temple City, CA
- Dementia Care in North El Monte, CA
- Dementia Care in San Marino, CA
- Dementia Care in Pasadena, CA
- Dementia Care in Altadena, CA
- Dementia Care in Duarte, CA
- Dementia Care in San Gabriel, CA
- Dementia Care in El Monte, CA
- Dementia Care in Rosemead, CA
- Dementia Care in South Pasadena, CA
Other care in Sierra Madre
Sources
Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.
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